NPI | 1750927497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704284122) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704284122) |
Enumeration Date | 2019-11-18 |
Last Update Date | 2022-01-25 |